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Mole Removal Sydney

Author: Dr Naomi / 27 Oct 2015

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Mole lump and bump removal is a specialty at ou Sydney clinic. We use several methods of removal.

Scarring is very important and the second consideration. The first consideration is to make sure that the lesion is not suspicious or cancerous. If the lesion is suspicious, either it will require an excision biopsy or a punch biopsy. Suspicious, dysplastic or cancerous lesions are not suitable for laser. Histology is required, so either part of the lesion, or the entire lesion need to be cut out and sent to pathology for examination

Methods of mole, lump and bump removal

  1. Excision: this is done with sutures and will cause a straight and long scar. This is necessary if the lesion is suspicious
  2. Punch biopsy. this can be done with or without suturing depending on the size of the punch. Scarring is minimal with small punch biopsies. Serial punch biopsies are also an option for larger lesions.
  3. Shave excision. This will shave the lesion to skin level
  4. Laser mole, lump and bump removal

Each lesion is individual, so a consultation examination and discussion is required to determine which method will suit each lesion and the patient

PROCEDURE FOR LASER MOLE LUMP AND BUMP REMOVAL

Day 1: consultation

Make an appointment to come and see us at Dr Naomi.

At this appointment we will:

* Take your history, including your ancestry, tanning ability, previous mole removal attempts and their complications/success.

* Examine your face and body

* Discuss information about mole removal that is important in your case, discuss the desired outcome

* Take photographs of your moles, lumps and bumps

* We will obtain a written consent for the procedure for mole removal, with a discussion of risks, benefits, pros and cons of the treatment. If the patient signs the consent form, the test patch or procedure will go ahead.

* In some cases, the doctor might recommend to perform test patching on 1-2 lesions before the full treatment can occur

* The doctor will assess your risk of PIH and may also recommend test patching. If the patient is Fitzpatrick 1-2 (fair skinned) then they can go ahead with the test patch or treatment on the day. If they are darker skin toned or at risk for PIH (Post inflammatory Pigmentation) then they may be advised to use topical lightening agents for 8 weeks prior to treatment. These topical agents are sold at our clinic.

Patient is to arrive with no makeup and no history of use of self tan/ spray tan for at least  2 weeks

There is opportunity to ask the doctor questions about the procedure

Laser mole lump and bump removal is performed with our Erbium laser

PROCEDURE FOR LASER MOLE REMOVAL

The appointment is 30 minutes to 1 hour.

The patient will lay on the treatment bed

Goggles will be worn by the patient to protect their eyes.

Local anaesthetic may be injected into the skin around the mole, lump or bump..

Multiple pulses of the laser are required for each lesion. The procedure is mildly painful, but most patients tolerate it very well. Typically patients will describe the pain as a 3/10. If local anaesthetic has been injected before laser, there will be no pain.

After the treatment, a dressing such as duoderm (a skin coloured adherent patch, which is like a second skin for the wound) will be applied to the wounds. These dressings need to be kept on for 3-7 days. You may change the dressings as required. It is ok to leave the same dressing on for 7 days The main reason for changing the dressing is because they can look a bit unsightly due to the blood, and also they get a blistered appearance over the course of the day after treatment.

Duoderm: The best dressing after treatment with ablative laser

Duoderm: The best dressing after treatment with ablative laser

 

For the first 24 hours, a pressure dressing on top of the duoderm may be used to reduce the likelihood of bleeding overnight Immediately after the treatment The patient will feel a strong sunburn-like feeling over the treated area. The treated area may be bleeding. This will be stopped before you leave the clinic At home care after laser mole lump and bump removal The sunburn-like feeling will last several hours and then reduce. Sun should be avoided. Be aware that while driving one is exposed to the sun Do not use acid or antiaging face products or makeup on the affected areas for 10 days after treatment. If you are at risk of PIH, the doctor will have given you instructions to buy some corticosteroid from the chemist to reduce the inflammation and lower your risk of PIH. This should be used for 7 days, twice daily. You should start your lightening agent again at the time advised by your doctor. Replace the duoderm as required.

For the first 24 hours, a pressure dressing on top of the duoderm may be used to reduce the likelihood of bleeding overnight

Immediately after the treatment

The patient will feel a strong sunburn-like feeling over the treated area.

The treated area may be bleeding. This will be stopped before you leave the clinic

At home care after laser mole lump and bump removal

The sunburn-like feeling will last several hours and then reduce.

Sun should be avoided. Be aware that while driving one is exposed to the sun

Do not use acid or antiaging face products or makeup on the affected areas for 10 days after treatment.

If you are at risk of PIH, the doctor will have given you instructions to buy some corticosteroid from the chemist to reduce the inflammation and lower your risk of PIH. This should be used for 7 days, twice daily. You should start your lightening agent again at the time advised by your doctor.

Replace the duoderm as required.

Before during and after laser removal of age spots

Before during and after laser removal of age spots

Before during and after treatment for age spots

Before during and after treatment for age spots


What should you expect to see on your skin after mole, lump and bump removal?

The wound may bleed overnight, this is common, the clinic will have provided you with sterile gauze to use for pressure if this occurs.

A scab will form on the wound and gradually heal over the next 1-6 weeks depending on where on the body the lesion is

Healing times

The healing time differs between body parts after freckle removal. Typical healing times are given below:

  • Face 7-9 days
  • Neck 9-12 days
  • Chest 12-16 days
  • Back 2-3 weeks
  • Abdo 2-3 weeks
  • Arms 3-4 weeks
  • Legs 4-6 weeks

The review appointment timing will be arranged with the doctor

Treatment 2

Usually most of the lesion will have been removed in the first treatment. Treatment 2 will be at a minimum of from 3 weeks to 6 weeks after treatment 1, depending on the body area treated.

Treatment 2 will proceed exactly as treatment 1.

After 2 treatments

Most patients will be delighted after 1-2 treatments of mole lump and bump removal with erbium laser. The small percentage who are not should have a 3rd treatment

If performing large numbers of mole lump and bump removal

Each patient will have a different “plan of attack”. When deciding on that person’s particular “plan of attack” we need to take account of the following factors:

Which areas of moles, lumps and bumps the patient wants removed most urgently.

The timing of different areas, eg the forearms may be best to treat when they can be covered with sleeves, if the patient does not want others to see that they are having the treatment.

How quickly the patient wants the whole procedure to be complete.

The healing time of each different area in that patient.

So after discussion with the patient about these factors, a plan can be decided upon, and then revised as required, as we get to know that patient’s healing times etc.

Complications/Risks

* Bleeding of the wound: nearly always occurs the first night of the procedure., should resolve within the first 2 days. Use pressure on the wound with the gauze that we provide to you. Also, it is best to sleep the first night on a dark towel in case of bleeding

* Swelling of the area

* PIH (post inflammatory hyperpigmentation) ie the laser can cause areas of brown pigmentation due to inflammation and the patient’s susceptibility to this. It is less common in the lighter skin tones.

Patients who are at risk for this are treated very differently to those who aren’t. Prevention is important, ie prelightening  is important, and steroids may be necessary after the treatment.

* Infection: Very uncommon, but always possible when skin is broken. The patient will notice a combination of redness, tenderness, swelling, pain and pus in an affected area. This is a very serious complication and needs to be treated immediately. The doctor should be contacted even if it is a night or a weekend. DO NOT PUT TREATMENT OF INFECTION OFF. Antibiotics are required, we typically suggest Cephalexin 500mg 4 times daily, with 1 repeat.

* Hypopigmentation/scarring: If a mole is wide and deep, then this is more likely. There will always be slightly different skin where the mole/lump/bump was removed, but patients are general very delighted with the results

* Recurrence of moles after removal: This is quite common, and often the patient will require top up treatments every few years.

* Need for multiple treatments. 1-2 treatments is most typical, but there can be cases where more treatments are necessary

Cost of Mole Lump or Bump Removal Treatment

Consultation and test patching 1-2 moles $460 per treatment

Punch biopsy 1-2 moles $460 per treatment

Shave excision 1-2 lesions $460 per treatment

Laser ablation 3-5 moles, lumps, bumps $760 per treatment

Laser ablation 6-15 lesions $900 per treatment

 

The amount of lesions that we are able to treat in one session depends on the size of the lesions.

Typically, each mole, lump or bump will require between 1-3 treatments. We can easily get rid of a lesion in one treatment, but the issue is scarring. It is better to perform the procedure in 2 treatments, so that the scarring can be as minimal as possible, which is really important to us and to you, as it will be with you for the rest of your life

See our instagram for Dr Naomi having a single spot erbium laser treatment to remove forehead warts below



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